Total femoral replacement for oncologic indications: Functional outcomes, complications, and implant survival rates

Total femoral replacement is reserved for distinctly specific oncological indications, where other more biological reconstruction methods are not feasible. This technique could yield satisfactory functional outcomes, along with a favorable implant survival rate and complication-free survival rate at mid-term. Infection remains the most common complication associated with this technique, while the main causes of implant failure are infection and local recurrence. Future studies focusing on strategies to prevent such complications and define clearer patient selection criteria may substantially improve the overall success of this technique. Cite this article as: Kaya H, Vahabi A, Daştan AE, Çolak TS, Keçeci B, Sabah D. Total femoral replacement for oncologic indications: Functional outcomes, complications, and implant survival rates. Acta Orthop Traumatol Turc., 2025;59(6):477-484.